Successful Therapeutic Hypothermia in a Patient with Drug-Induced J Waves and Cardiac Arrest: A Case Report

A 50-year-old man was admitted to our hospital with hypotension and bradycardia after receiving high doses of atenolol, amlodipine, and etizolam. He had a drug-induced J wave on electrocardiography and subsequently underwent cardiac arrest. The patient was successfully rescued by venoarterial extrac...

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Veröffentlicht in:Therapeutic hypothermia and temperature management 2023-12, Vol.13 (4), p.23-233
Hauptverfasser: Sato, Jun, Yagi, Tsukasa, Shimada, Erika, Kobori, Masashi, Watanabe, Kazuhiro, Kuwana, Tsukasa, Chiba, Nobutaka, Saito, Takeshi, Kinoshita, Kosaku
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Sprache:eng
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Zusammenfassung:A 50-year-old man was admitted to our hospital with hypotension and bradycardia after receiving high doses of atenolol, amlodipine, and etizolam. He had a drug-induced J wave on electrocardiography and subsequently underwent cardiac arrest. The patient was successfully rescued by venoarterial extracorporeal membrane oxygenation (VA-ECMO) and a good neurological outcome was achieved with therapeutic hypothermia (TH). In patients with J waves, TH is thought to increase the J waves and cause fatal arrhythmias, but in this case, rapid cooling with VA-ECMO allowed the patient to successfully complete TH.
ISSN:2153-7658
2153-7933
DOI:10.1089/ther.2023.0041